Background and Objective:
Kikuchi Fujimoto Disease[KFD] is an uncommon condition presenting with necrotizing lymphadenitis associated constitutional symptoms and associated autoimmune disease. Cytology is an evolving diagnostic tool in low sensitivity on this disease having many differentials often warranting biopsy. Herewith we present a rare case report of KFD with non classical mode of presentation and emphasizing the diagnostic utility of cytology in effective pick up of the diagnosis.

Case Report:
A 22 year old female presented with cervical lymphadenopathy with constitutional symptoms. Unusually no associated autoimmune conditions noted with negative serology. Cytomorphologyclinched the features of histiocytic lymphadenitis along with karyohexis with non necrotizing background. Subsequent biopsy proved the cytology diagnosis of KFD.

KFD can appear as atypical presentation without any association of autoimmune disease. Fine Needle Aspiration Cytology(FNAC) proved to be useful in effective diagnosis obviating the need for biopsy.